Vascular exam 11-16 multiple choice || A Verified A+ Pass.
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Vascular multiple choice
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Vascular Multiple Choice
b correct answers Which method is most commonly used to calculate ABI?
a. the lowest pressure at the ankle to the lowest systolic pressure of the right or left brachial artery
b. the highest pressure at the ankle to the highest systolic pressure of the right or left brachial artery
c. the lowest...
Vascular exam 11-16 multiple choice || A Verified A+ Pass.
b correct answers Which method is most commonly used to calculate ABI?
a. the lowest pressure at the ankle to the lowest systolic pressure of the right or left brachial
artery
b. the highest pressure at the ankle to the highest systolic pressure of the right or left brachial
artery
c. the lowest pressure at the ankle to the highest systolic pressure of the right or left brachial
artery
d. the highest pressure at the ankle to the lowest systolic pressure of the right or left brachial
artery
d correct answers Which statement about intermittent claudication is FALSE?
a. pain with exercise is relieved by rest
b. it can be asymptomatic at rest
c. ABI values are generally between 0.5 and 1.3
d. ABI value can never be greater than 1.3
c correct answers Which statement regarding the importance of early assessment of the presence
of PAD is FALSE?
a. patients are at increased risk for cardiovascular mortality
b. patients are at increased risk for cardiovascular morbidity
c. patients will eventually require amputation
d. PAD is a marker for systemic arterial damage
d correct answers Progression of PAOD can be established on follow-up of patients by physical
examination and clinical history because the patient may describe all the following EXCEPT:
a. diminution of walking distance
b. increase of recovery time
c. skin and nails changes
d. resolution of pain by changing position
a correct answers Severe PAOD can be suspected with all the following EXCEPT:
a. leg pain while sitting
b. skin discoloration and scaling
c. claudication pain after less than 50-foot walk
d. constant forefoot pain
a correct answers Thoracic outlet syndrome can include all the following presentations EXCEPT:
a. pain with arm in neutral position
b. neurologic pain
c. edema of the arm and forearm
d. pain with the arm elevated above head
b correct answers The techniques commonly used for indirect testing of arterial perfusion in the
thigh and leg include all of the following EXCEPT:
,a. plethysmography
b. photoplethysmography
c. Doppler waveform analysis
d. segmental systolic pressure
b correct answers To ensure accuracy of data, particularly for recording of segmental systolic
pressures, how long should the patient be allowed to rest?
a. 5 to 10 minutes
b. 10 to 15 minutes
c. 20 minutes
d. does not need to rest
d correct answers What is the appropriate size for a blood pressure cuff to be used on an
extremity to ensure accuracy of data obtained for systolic pressure determination?
a. a 12-cm wide cuff at the upper arm
b. a 10-cm wide cuff at the ankle
c. between 10% and 15% wider than the diameter of the limb segment
d. 20% wider than the diameter of the limb segment
d correct answers All of the following can result in inaccurate systolic pressure measurements in
the lower extremities EXCEPT:
a. the cuff is too narrow
b. the deflation rate is too fast
c. the limb segment is elevated above the heart
d. the dorsals pedis artery is used to listen to the signal
c correct answers What will the use of a 4-cuff versus a 3-cuff method to estimate arterial disease
in the lower extremities help determine?
a. whether the disease is present at the distal femoral level
b. whether the disease is present at the proximal femoral level
c. whether the disease is present at the iliofemoral level
d. whether the disease is present at the popliteal level
a correct answers Which of the following is clear diagnostic criteria to estimate disease between
two limb segments when using systolic pressure determination?
a. a drop of more than 30mm Hg between the proximal and immediate distal segment
b. an increase of more than 30mm Hg between the proximal and immediate distal segment
c. a drop of 50mm Hg between the proximal and immediate distal segment
d. an increase of 50mm Hg between the proximal and immediate distal segment
d correct answers Which of the following is NOT a common method to induce symptoms with
exercise in a patient suspected to have arterial insufficiency but relatively normal results at rest?
a. using a treadmill for walking with a set protocol
b. having the patient walk at own pace until symptoms occur
c. having the patient perform heel raises until symptoms occur
d. raising the limb above the heart while the patient is supine on the exam table
, d correct answers Which of the following is NOT one of the main advantages of pulse volume
recording (PVR)?
a. records overall segment perfusion
b. can give data even with calcified arteries
c. is easy and quick to perform
d. provides quantitative values
b correct answers What is the most convenient (and reliable) technique to obtain digital pressures
while using a small digital cuff?
a. PVR
b. PPG
c. CW Doppler
d. PW Doppler
d correct answers What is the most convenient technique to record changes of arterial
insufficiency with thoracic outlet syndrome with a specific (and sometimes tailored) set of
maneuvers?
a. PVR on a limb segment
b. CW Doppler at the brachial artery
c. pressure recordings at the brachial artery
d. PPG on a digit
a correct answers What is the typical skin color changes (in the hands and fingers) associated
with Raynaud's disease from room temperature to exposure to cold temperature and ending with
rewarming?
a. white, blue, red
b. red, blue, white
c. blue, white, red
d. blue, red, white
b correct answers The Allen test is typically performed by placing a PPG sensor on the middle of
index finger to record digit perfusion while:
a. the radial and ulnar arteries are compressed concomitantly
b. the radial and ulnar arteries are compressed sequentially
c. the radial artery is compressed individually
d. the ulnar artery is compressed individually
a correct answers Using PPG sensor on a digit demonstrating signs of increased vasospasm from
primary Raynaud's disease, what characteristic will the waveform typically display?
a. a peaked pulse on the anacrotic portion
b. an anacrotic notch in late diastole
c. a dicrotic notch in sytole
d. a dicrotic notch in diastole
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